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A client underwent abdominal surgery and is now at risk of developing peritonitis. The nurse teaches the client about the early signs and symptoms of peritonitis. What should the nurse include in the teaching?

Fever and diarrhea

Abdominal distension and flatulence

Nausea and vomiting

Sudden-onset severe abdominal pain and tenderness

Answer and Explanation

The Correct Answer is D

Choice A reason:

Fever and diarrhea are not specific early signs of peritonitis.

Choice B reason:

Abdominal distension and flatulence may occur for various reasons after abdominal surgery, but they are not specific to peritonitis.

Choice C reason:

Nausea and vomiting can be caused by various post-operative factors and are not specific to peritonitis.

Choice D reason:

Sudden-onset severe abdominal pain and tenderness are classic early signs of peritonitis and indicate the need for immediate medical attention.

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Correct Answer is D

Explanation

Choice A reason:

Continuous gastric suction is not primarily intended to prevent aspiration pneumonia, although it may indirectly help reduce the risk of aspiration in some cases.

Choice B reason:

Reducing intra-abdominal pressure is not the primary purpose of continuous gastric suction, although it may have some effect on the overall abdominal pressure.

Choice C reason:

Continuous gastric suction is not primarily intended to manage pain and discomfort in the client with peritonitis, although it may help alleviate some symptoms.

Choice D reason:

Promoting bowel rest is the main purpose of continuous gastric suction in the management of peritonitis. By reducing the workload of the gastrointestinal tract, the inflamed peritoneum can heal and recover more effectively.

A. Chest X-ray B. Electrocardiogram (ECG) C. Abdominal ultrasound D. Complete blood count (CBC)

Correct Answer is C

Explanation

Choice A reason:

A chest X-ray is not the primary diagnostic test for peritonitis.

Choice B reason:

An ECG is used to assess cardiac function and is not specific to peritonitis.

Choice C reason:

An abdominal ultrasound is commonly used to diagnose peritonitis and can help visualize inflammation or fluid in the peritoneal cavity.

Choice D reason:

A CBC may show elevated white blood cell count, which is an indication of infection, but it is not a confirmatory test for peritonitis.

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A client underwent abdominal surgery and is now at risk of developing peritonitis. The nurse teaches the client about the early signs and symptoms of peritonitis. What should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with peritonitis is prescribed continuous gastric suction. The nurse understands that this intervention is essential to:

Correct Answer is D

Explanation

A client with a history of appendectomy develops peritonitis. The nurse anticipates which diagnostic test to confirm the diagnosis?

Correct Answer is C

Explanation

A nurse caring for a client with peritonitis observes the client assuming a fetal position and exhibiting restlessness. The nurse interprets these behaviors as indicative of:

A client with peritonitis reports experiencing sharp, sudden-onset pain that worsens with movement. The nurse recognizes this type of pain as:

A client with peritonitis is prescribed intravenous (IV) opioids for pain management. The nurse closely monitors the client for which potential side effect?

A client with peritonitis is receiving intravenous (IV) antibiotics. The nurse should monitor the client for which potential side effect of antibiotic therapy?

A nurse is providing education to a group of older adult clients about the risk factors for peritonitis. Which factor is most likely to increase the susceptibility to peritonitis in older adults?

A nurse is caring for a client with peritonitis who is at risk of developing abdominal compartment syndrome. Which assessment finding should the nurse be most concerned about?

A client with peritonitis presents with an elevated temperature, rapid heart rate, and shallow breathing. The nurse recognizes these signs as indicative of:

A client is admitted to the hospital with peritonitis. The nurse is conducting an assessment and asks the client about their recent medical history. Which risk factor is most likely associated with the development of peritonitis in this client?